Hospitals / PA

ST. CLAIR HOSPITAL Pricing Analysis

Source: Hospital MRF file & CMS Medicare PFS 2026

Fairness Grade

D

Above Average Cost

Price Multiplier

80x

the federal fair-price benchmark

Procedures Priced

1,144

93 comparable to federal rates

What does this mean for your bill? This hospital charges 80x or more above the government benchmark — among the most expensive. For example, a procedure the government prices at $100 would cost about $8,000 at this hospital's list price. If you're uninsured or out-of-network, you may be able to negotiate down significantly.

Check a specific procedure price

Use our price checker to look up any of 7,700+ procedures and see what Medicare considers a fair price.

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Biggest Overcharges at This Hospital

These are the procedures where ST. CLAIR HOSPITALcharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.

ProcedureCodeThey ChargeGov. BenchmarkYou Overpay
Removal of impacted wax mdG0268$546$50+$495
Arthro, loose body + chondroG0289$2,485$73+$2,412
GRAFT HUMAN TISSUE 8X12Q4116$43$127
DERMAL GRAFT 418 SQ CMQ4128$41$127
INTEGRA MATRX BIL MSH 4x5Q4104$8$127
PURAPLY SXQ4195$139$127+$12
Ca screen;flexi sigmoidscopeG0104$2,842$215+$2,628

About ST. CLAIR HOSPITAL Pricing

ST. CLAIR HOSPITAL in , PA charges 80x or more above the government benchmark — among the most expensive across 93procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.

What this means for your bill

If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.

Can I negotiate?

Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.

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